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Division of Endocrine Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, FL, USA.
Copyright © 2019 Korean Endocrine Society
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
CONFLICTS OF INTEREST: No potential conflict of interest relevant to this article was reported.
Patients need to meet only one of these criteria to be advised to undergo parathyroidectomy. They do not need to meet more than one these criteria.
BMD, bone mineral density; DXA, dual energy X-ray absorptiometry; CT, computed tomography; MRI, magnetic resonance imaging; VFA, vertebral fracture assessment.
aThe use of Z-scores instead of T-scores is recommended in evaluating BMD in premenopausal women and men younger than 50 years; bMost clinicians will first obtain a 24-hour urine for calcium excretion. If marked hypercalciuria is present (400 mg/day [10 mmol/day]), evidence of calcium-containing stone risk should be sought by a urinary biochemical stone risk profile. The presence of abnormal findings indicating increased calcium-containing stone risk and marked hypercalciuria is a guideline for parathyroidectomy.